The Barcelona Klinik Hospital performed the first uterine transplant in Spain, which was performed through donations from living donors. The main requirement to be a candidate for this intervention is the absence of a uterus at birth, which is called Rokitansky syndrome.
October 5, Barcelona Hospital Clinic Make Spain’s first uterine transplant. The procedure is led by the head of gynecological services, Francisco CarmonaAnd the person in charge of urology and kidney transplant services, Antonio Alcaraz placeholder imageThis is possible thanks to a real-time donation from one sister to another sister’s uterus.
The main requirement to be a candidate for this type of intervention is Rokitanski syndromeCongenital diseases of the female reproductive system 1 in 5,000 women in the world. These women were born without a uterus and no fallopian tubes. In this case, the recipient is the only compatible candidate among the 30 applicants.
Uterine transplantation is divided into two stages: extraction of the uterus through robotic surgery to minimize invasiveness, and implantation in open surgery. For extraction, the approximate duration is about 12 hours, and for implantation it is about four hours.
More than twenty people They formed a multidisciplinary team responsible for performing the surgery. This is a very complicated process, especially in the first stage of excision of the donor uterus. Professionals include gynecologists, transplant surgeons, gynecologists and transplant nurses, anesthesiologists and assistants.
As Alcaraz explained, “The uterus is a complex organ. The arteries are poorly formed and the venous network is very large. You must try to drain the largest of them to drain the blood that reaches the uterus.” In addition, Since its success, this has been a long process, as Carmona said: “It depends on the viability of the organ, the function of the organ, and the woman’s pregnancy.”
More than 20 people formed the team responsible for the operation. /Hospital Clinic | @franciscoavia
You already have the first issue
Two months after the operation, progress was good. The uterus has proven its function because the recipient has already received the treatment of the uterus. First menstrual cycle. A few months later, 11 embryos previously fertilized in vitro will be implanted.
If she is pregnant, the recipient will be kept Immunosuppressive drugs Until the second pregnancy. Once you have fulfilled your wish to become a mother, as long as this is your wish for pregnancy, the uterus will be removed via laparoscopy after the second delivery.
Success stories around the world
To this day, they have revolved around 70 uterine transplants worldwide, Which is pregnant More than 20 live newborns. The first child after uterine transplantation from a living donor was born in 2014 at the Saargrenska University Hospital of Gothenburg University (Sweden). Mats Brännström.